麻醉师在产后抑郁症中的作用:目前的观点和未来的方向。

IF 3.2 3区 医学 Q2 PSYCHIATRY
Frontiers in Psychiatry Pub Date : 2025-03-19 eCollection Date: 2025-01-01 DOI:10.3389/fpsyt.2025.1511817
Weijia Du, Xiaozhe Qian, Zhendong Xu, Zhiqiang Liu
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引用次数: 0

摘要

产后抑郁症是一种常见的分娩并发症,会严重影响妇女、婴儿和家庭。2020年,中华人民共和国国家卫生健康委员会要求在怀孕和产后就诊期间进行抑郁和焦虑筛查,以确保及时进行医疗干预并转诊到适当的行为健康资源。麻醉师是产科实践中不可缺少的成员。优化围生期疼痛控制可减少应激反应;促进母乳喂养;降低母亲的焦虑和抑郁。最近,氯胺酮的快速和持续抗抑郁特性的发现,以及支持麻醉药物治疗抑郁症有效性的新证据,使麻醉医生处于治疗神经精神疾病的新前沿。本文旨在探讨分娩硬膜外镇痛、产科麻醉和麻醉药物对产后抑郁症的影响,并根据最新证据讨论麻醉师在预防和治疗产后抑郁症中的新作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The role of anesthesiologists in postpartum depression: current perspectives and future directions.

Postpartum depression is a common complication of childbirth that can seriously affect women, infants, and families. In 2020, the National Health Commission of the People's Republic of China mandated depression and anxiety screenings during pregnancy and postpartum visits to ensure timely medical intervention and referrals to appropriate behavioral health resources. Anesthesiologists are indispensable members in obstetric practice. Optimal peripartum pain control can reduce stress response; promote breastfeeding; and lower maternal anxiety and depression. Recently, the discovery of the rapid and sustained antidepressant properties of ketamine and emerging evidence supporting the effectiveness of anesthetic drugs in the treatment of depressive disorders have positioned anesthesiologists on a new frontier for treating neuropsychiatric disorders. This review aimed to explore the impact of labor epidural analgesia, obstetric anesthesia, and anesthetic drugs on postpartum depression while discussing the emerging role of anesthesiologists in its prevention and treatment based on recent evidence.

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来源期刊
Frontiers in Psychiatry
Frontiers in Psychiatry Medicine-Psychiatry and Mental Health
CiteScore
6.20
自引率
8.50%
发文量
2813
审稿时长
14 weeks
期刊介绍: Frontiers in Psychiatry publishes rigorously peer-reviewed research across a wide spectrum of translational, basic and clinical research. Field Chief Editor Stefan Borgwardt at the University of Basel is supported by an outstanding Editorial Board of international researchers. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. The journal''s mission is to use translational approaches to improve therapeutic options for mental illness and consequently to improve patient treatment outcomes.
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